FORM 1023-EZ for 100 STRONG INC

Field Data
EIN 81-1510906
Case Number EO-2016138-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 100 STRONG INC
Organization’s Mailing Address 111 N 6TH ST -1542
City ROCKFORD
State IL
ZIP 61110
Accounting period End 2
Primary contact name DAWAYNE ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROYCE DIXON
PRESIDENT
2116 LUCILLE ST
ROCKFORD IL 61104

Officer/Director/Trustee Two

DAWAYNE ROBINSON
BOARD MEMBER
436 STONE HOLLOW DR
POPLAR GROVE IL 61065

Officer/Director/Trustee Three

CHRISTOPHER DIXON
BOARD MEMBER
3414 CARRARA
ROCKFORD IL 61114

Officer/Director/Trustee Four

CALVIN RHODES
BOARD MEMBER
3744 ALLENHURST LN
ROCKFORD IL 61101

Officer/Director/Trustee Five

DONELLE BARNES
BOARD MEMBER
1903 PARADISE BLVD
ROCKFORD IL 61103

Organization’s website WWW.100STRONG-ROCKFORD.COM
Organization’s email 100STRONGMEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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